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Collaboratingto DeliverResultsPARTNERAGENCIES& OFFICESACSTHRIVENYC: A MENTALHEALTH ROADMAP FOR ALLOn November 23, 2015, New York City, under the leadership of the First Lady of New YorkCity Chirlane McCray, launched ThriveNYC, a decisive turning point in the way the Cityaddresses mental health and substance use. The implementation of the program is overseenby the Deputy Mayor for Strategic Policy Initiatives in partnership with the Mayor’s Officeof Operations and the Department of Health and Mental Hygiene (DOHMH). By the end ofFiscal 2017, 94 percent of the 54 ThriveNYC initiatives were underway and actively servingand training New Yorkers citywide.DHSAt least one in five adult New Yorkers is likely to experience a mental health disorder in anygiven year. And it’s not only adults who suffer—50 percent of all lifetime cases of mentalillness begin by age 14. ThriveNYC puts New York City at the forefront of the movement todevelop a comprehensive solution to a pervasive public health problem.DOCThriveNYC’s initiatives are organized around six guiding principles:DOE Change the CultureDOHMH Act EarlyDVS Close Treatment GapsCUNYDFTADYCDH HHPDHRANYPDMayor’sCommunityAffairs UnitMayor’s Officeto CombatDomesticViolenceMayor’s Officeof CriminalJusticeMayor’s Officefor EconomicOpportunityMayor’s Officeof OperationsNYC Children’sCabinetNYC Digital Partner with Communities Use Data Better Strengthen Government’s Ability to LeadCHANGE THE CULTUREChanging the culture around mental health is a top priority of ThriveNYC. Stigma not onlyintensifies the suffering of mental illness—it also prevents people from seeking the treatmentor supports that can transform their lives. ThriveNYC focuses on the critical work of replacinga culture of shame with a culture of support.Highlights of accomplishments during Fiscal 2017 under Change the Culture include: The City continued to expand Mental Health First Aid by successfully training 13,580New Yorkers, bringing the total number of trained First Aiders to 16,815 by end ofFiscal 2017. Efforts continue to be on track to train 250,000 New Yorkers by the end ofCalendar 2020. Public awareness campaigns included a focus on NYC Well to ensure New Yorkers areaware of the ease with which they can receive comprehensive services for themselvesor a loved one. An estimated 4.5 million New Yorkers were reached through mediacampaigns. An additional 1,591 New York City Police Department (NYPD) officers, including newrecruits, received Crisis Intervention Training, bringing the total to 5,871 officers trained. The NYPD Crime Victim Advocate program was launched in Fiscal 2017 to help mitigatetrauma in the aftermath of crime. Crime Victim Advocates give victims information aboutthe criminal justice process, help develop safety plans to reduce the likelihood of repeatCOLLABORATING TO DELIVER RESULTS: ThriveNYC Page 3

victimization, and provide assistance with accessing services. Fifty-two advocates have already been placed in 26precincts. By late summer 2018, there will be both a general Crime Victim Advocate and a specialized DomesticViolence Victim Advocate in 77 precincts and all nine Housing Bureau Police Service Areas. The remaining sixprecincts will have a general Victim Advocate.ACT EARLYActing early helps New Yorkers develop emotional fitness through preventive self-care approaches. Fewer New Yorkerswill develop mental illness and those who do will recover more quickly and wholly.The City is investing in early intervention for all New Yorkers, with a special focus on its youngest residents. Highlightsof ThriveNYC’s accomplishments during Fiscal 2017 under Act Early include: Social-Emotional Learning (SEL) is a process through which children and adults acquire and effectively apply theknowledge, attitudes, and skills necessary to understand and manage emotions; show empathy for others; andmaintain positive relationships. During the reporting period, 1,422 Pre-K program leaders attended trainingsabout the importance of family engagement. Additionally, 4,744 Administration for Children’s Services (ACS) staffattended training opportunities in SEL. Both ACS and the Department of Education’s (DOE) programs launched in2016. In Fiscal 2017, 13 additional School-Based Mental Health Clinics opened in Community Schools, raising the Citytotal to 56 mental health clinics in Community Schools. The School Mental Health Consultant Program provides mental health consultation to all NYC public schools thatdo not already have enhanced mental health services. The approximately 900 schools that do not currently have aMental Health Clinic or other mental health resources are being connected to Masters-level School Mental HealthConsultants. In Fiscal 2017, 60 additional consultants were hired, bringing the total number of consultants to 90. The Creating Awareness about Relationship Equality (CARE) initiative teaches healthy relationship skills to teens infoster care and other ACS programs so they will be better prepared to prevent, recognize, and respond to datingviolence. In Fiscal 2017, 944 youth and 434 caregivers attended workshops, for a cumulative total 1,364 youthtrainings and 988 caregiver trainings. The Newborn Home Visiting Program set a goal to expand program services to successfully visit 840 additionalmothers of infants in New York City family shelters during Fiscal 2017. The program includes home visiting andeducation around an array of topics related to parenting and child development. During the reporting period,1,252 eligible Department of Homeless Services (DHS) families were visited. Since ThriveNYC’s launch in November2015, 1,692 families have been visited and 1,285 mothers have been screened for maternal depression.CLOSE TREATMENT GAPSThe administration is expanding access to care and working to close gaps in quality, cultural competence, and languagediversity. It is also targeting resources to those New Yorkers who need help most.Highlights of ThriveNYC’s accomplishments in Fiscal 2017 under Close Treatment Gaps are: NYC Well, the City’s free, comprehensive, 24/7/365 one-click, one-call point of entry to citywide behavioral services,launched in October 2016. The service can be accessed via phone, text, or chat and delivers crisis counseling,referral to behavioral health services, mobile crisis, follow-up services, short-term counseling, and peer supportservices. The demand for these services more than doubled the previous call center’s usage and, in response, theCity expanded NYC Well’s capacity to reach the need. NYC Well has received over 170,000 calls, texts, or chats. With the establishment of a Maternal Depression Learning Collaborative, New York City has set up a system toscreen all pregnant women and new mothers for pregnancy-related depression in participating hospitals and clinics.NYC Health Hospitals and Maimonides Medical Center, along with the Greater New York Hospital Associationand DOHMH, are leading the collaboration with 30 participating city hospital systems to close this treatment gap.Page 4 MAYOR’S MANAGEMENT REPORT

As of June 2017, all 11 NYC Health Hospitals and Gouverneur Hospital started offering screenings. During thereporting period, 15,284 prenatal and postpartum screenings were conducted by participating hospitals. The City University of New York (CUNY) Mental Health Digital Platform initiatives were piloted between October2016 and June 2017 at selected CUNY campuses. These programs provided CUNY students with high-quality, lowcost mental health services and self-care resources through web-based and mobile-supported media. In order totest and identify interventions that best serve students, the following programs were piloted during the reportingperiod: The CUNY Mental Health Ambassadors program expanded to include 12 new Ambassadors at select Bronxcampuses. Ambassadors actively work to promote mental health services available on campus and conductoutreach events. In Spring 2017, Ambassadors conducted 37 outreach and promotion events and distributed1,206 print materials for students across two campuses (Bronx Community College and Lehman College). In Fall 2016, the Healthy CUNY App, designed by CUNY students for CUNY students, launched at Borough ofManhattan Community College and John Jay College as a digital health application. This web-based mobileservice provides students with resources for maintaining positive mental health, sexual and reproductive health,food security and benefits, and insurance assistance. During the reporting period, the Healthy CUNY App had10,763 page views. Healthy CUNY was extended to Brooklyn campuses in March 2017 (Brooklyn College,Medgar Evers, and Kingsborough Community College). The MyCUNY Canvas program, moderated and facilitated by experienced healthcare professionals trained inonline interventions, was designed as an online support network for an anonymous peer community. In Spring2017, the vendor, the Big White Wall, suspended operations in the United States. As a result, the Canvas wentoffline. During its five-month operational run, the network was visited 321 times. In Fiscal 2017, the Peer Support Training program graduated 236 peer specialists from its mental health, substanceuse, and family/youth peer advocate programs. This number exceeded the Fiscal 2017 goal of 200. These trainingswill equip individuals with lived experience to take on workforce positions in the healthcare system. The Department of Youth and Community Development (DYCD) served more than 2,408 individuals in theirRunaway and Homeless Youth system during Fiscal 2017. Youth participated in psychological evaluations, servicereferrals, and individual and group therapy.PARTNER WITH COMMUNITIESA key element of ThriveNYC is partnering with community members and institutions to build on local experienceand more effectively connect neighborhood residents, non-profit organizations, social centers and local leaders withgovernment agencies and health and mental health professionals. Highlights of ThriveNYC’s accomplishments duringFiscal 2017 under Partner with Communities include: The NYC Mental Health Service Corps program hired 128 Year 1 clinicians and physicians and placed them inprimary care practices, mental health clinics, and substance use disorder programs in high-need communitiesthroughout the City, serving a total of 9,245 unique patients. Connections to Care (C2C), a 30 million-dollar initiative, brings mental health resources to community-basedorganizations (CBOs) that already provide a range of social services to New Yorkers. It launched during Fiscal 2017.CBOs and their mental health provider partners have trained over 725 staff, exceeding the original goal to train 669staff, and served over 6,500 individuals.USE DATA BETTERThe City is investing in collecting better data to measure progress and determine where to focus future efforts. TheCity is also helping other stakeholders use data better and adopt proven methods. The City established a Mental Health Innovation Lab to help drive the use of evidence-based best practices, testnew strategies and interventions and ensure that data is put to work on behalf of efforts to create real changeCOLLABORATING TO DELIVER RESULTS: ThriveNYC Page 5